Active NPI
Emily Byrd
- Mental Health Counselor
- Bradenton, FL
National Provider Identifier
1508202326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3850 E State Road 64
Bradenton, FL 34208-9040 - Phone
- (941) 748-2697
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3850 E State Road 64
Bradenton, FL 34208-9040
Mailing address
4895 Wilde Pointe Dr
Sarasota, FL 34233-3542
Phone (941) 928-9304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011923800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kin-Ship Services, Inc. | Mental Health | Current | Accepting new patients |
Locations
3850 E State Road 64
Bradenton, FL 34208
Phone (941) 661-8889
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1508202326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 WILDE POINTE DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342333542",
"telephone_number": "941-928-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 E STATE ROAD 64",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089040",
"telephone_number": "941-748-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2024-04-30",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011923800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.